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rw <br />Village Permit % . <br />Contractor [ 1 d-ham Addres <br />1 <br />Owner 's c ta_A- J WA, �} �� Address � � C <br />State License No <br />Section No <br />Other Description: <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date <br />Parcel No. <br />Lot Block Subdivision <br />Plat No <br />?_!a�3 <br />I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, shall <br />comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />Install plumbing systems: Fee $ <br />Install <br />�e� s�vvage disposal systems: Fee $ <br />Install <br />water supply systems: Fee $ <br />Repair <br />Fee $ <br />Total amount paid to Village....... $ <br />Signature of applicant <br />Signature of Village Official <br />